Samantha Roth, LCSW-C



Virginia Commonwealth University/MSW in Clinical Social Work

Not accepting new clients or keeping a waitlist at this time.

What’s therapy with me like? I focus most on working with clients who are in alternative lifestyles, especially consensual non-monogamy and BDSM, trauma, and anxiety, using cognitive behavioral therapy, CBT), the neurobiology of trauma, and psycholinguistics.

I like to think of CBT as the 4 C’s: consider the event, cope with your feelings, challenge your thoughts, and change your behaviors. The question then, is how do we do that? It feels like a more practical and direct type of therapy, which fits me because I’m a practical and direct type of person. I do a lot of psychoeducation work with the neurobiology of trauma and how the threat/fear/trauma response affects us both mentally and in our bodies.

Understanding those processes can help us really understand how to change, and then choose, certain behaviors over others. Psycholinguistics, which is working with the influence of psychological factors on the development, use, and interpretation of language, has a huge effect on our thoughts and feelings. I’ll often ask clients, “well, why that word? What does it mean to you?” The more we recognize about our word use in our thoughts, the more we can challenge them.

How I’ve kept learning… I have a certification in Gender Violence Intervention from VCU. I am currently working my way through Decolonizing Therapy for Black Folks led by Shawna Murray-Browne. I am in a clinician consultation group that focuses on relationship therapy as well as a weekly clinician consultation group for more general clinical concerns. I’ve completed my clinical supervisor training and am just waiting to receive my certification!  

Who do I work with? I work with adults from 18-50, and will see individuals and folks for relationship therapy.

My impacting identities are… I am a cis, white, queer, and middle class woman. I grew up in a military family, with monogamous parents who’ve been married for over 30 years. I’m agnostic (but heavily influenced by the novel Kushiel’s Dart). I am plus sized and a trauma survivor who has been diagnosed with C-PTSD, generalized anxiety disorder, and major depressive disorder (yay for meds and therapy!). I am also actively polyamorous and involved in the BDSM scene.

I feel allied/aware/informed/knowledgeable about…BDSM (part of and knowledgeable about), Polyam/CNM (part of and knowledgeable about), LGBTQIA (part of and knowledgeable about).

I am the best fit for a client who…likes a direct, no bullshit approach, and who wants to be challenged (and likes to laugh!). My clients are ready to show up to sessions as their authentic self, want me to do the same, and really want to do the work together. I’m also a great choice for those in alternative lifestyles, as I’m in an alternative lifestyle myself and have a good basis for both personal and professional understanding.

I am not a good fit for a client who…is looking for a less direct, more processing based approach, or for those who are interested more in general talk therapy or insight orientation work.

What makes me unique? One of the things I tell potential clients when they call is that they’re going to get me as a real person. That means I’m going to make jokes, swear, pick up my cats if they walk by for cuddles…as well as provide you with empathy, support, encouragement and someone who will challenge you when needed and help you face that challenge head on. I ask clients to be their true, authentic, vulnerable selves in session – I won’t ask any less of myself.


The Practical Stuff

What insurances do I accept? I am in network with Carefirst BCBS and Evernorth (previously known as Cigna). I do not accept insurance for couples/relationship therapy. Please see our Rates and Insurance page for more information.

Do I offer telehealth or in person sessions? I offer teletherapy, and I prefer it. I do occasional in person sessions depending on client need.


The Fun Stuff

Did you know…I have 7 tattoos. My right arm is a full arm sleeve that is entirely inspired by my favorite will read and reread and reread again novels throughout my life. There’s at least ten novels represented.

Any pets? I have two Tonkinese cats: Kaisa (named after a character from The Golden Compass) and Zuli (named after a character from “Steven Universe”).

What I’ve Learned Lately

  • Introduction to Sex Therapy, Bright Ideas CEU, 2/5/21
  • Sex Workers as Therapy Clients: Equitable Care Certification Intro Course, Equitable Care Certification, 5/13/21
  • Culturally Aware, Trauma Informed Care with Trans and Gender Expansive People, Tavi Hawn, 5/26/21
  • Camouflage Closet Documentary Film Screening and Panel Discussion, UMD Training Center, 6/22/21
  • Advanced Field Instruction Training (FIT): Supervision and Problem Solving Ohio State School of Social Work, September 2021
  • Supervision Strategies for the Development of Competent Social Workers, Maryland Chapter of the National Association of Social Workers, Gisele Ferretto LCSW-C, October 2021
  • Incorporating Ethical Strategies in Practice and Supervision, Maryland Chapter of the National Association of Social Workers, Gisele Ferretto, LCSW-C, October 2021
  • Supervising for Culturally Responsive Social Work, Maryland Chapter of the National Association of Social Workers, Gisele Ferretto, LCSW-C, October 2021
  • Transforming White Organizational Culture, Center for the Study of White American Culture, November 2021
  • Dual Relationships: Balancing Ethical Responsibilities, University of Maryland School of Social Work, November 2021
  • Brief History of Oppression and Resistance: An Introduction, University of Maryland School of Social Work, November 2021
  • Completed Year Long Monthly Clinical Supervision Group for Working with Trans and Non-Binary Clients, 2021 The Transgender Training Institute, Inc, December 2021
  • Module 1: Whitewashed Wellness, Decolonizing Therapy for Black Folks ”
    Shawna Murray-Browne, LCSW-C, January 2022
  • What Should I Say, Handling Difficult Conversations at Work University of Maryland, School of Social Work, Jennifer Alfonso. February 2022
  • Identity Development Around Sexuality, Gender, and Relationships (in progress) The Affirmative Couch, Cadyn Cathers, PsyD, February 2022
  • Psychological Preparation for Medical Transition, Day 1 The Affirmative Couch, Cadyn Cathers, PsyD, March 2022
  • Anti-racism Training 3 Month Training, Dr. Nathalie Edmond, March & April 2022
  • Writing Clinical Letters of Referral for Gender Affirming Medical Care, Moe A. Brown, MS, LMFT, May 2022
  • The Ethical Slut by Janet W. Hardy and Dossie Easton, May 2022
  • When Someone You Love Is Kinky by Dossie Easton, May 2022
  • Health at Every Size and the Understanding of Anti-Fatness as Trauma Baltimore, Metro IAEDP Chapter, June 2022
  • Gender Affirming Surgery Letter Writing Training, Tavi Hawn, LCSW-C, July 2022
  • Queer ASL 101, Queer ASL, August 2022


How to Give me A Buzz

The best way to contact me is…by email, at or by text at 757-320-9356.